The Analysis Of Diagnosis And Treatment Of Inpatients With Pulmonary Thromboembolism In Shihezi

Objective Investigation and analysis to represent the only 3 armour hospital diagnosis and treatment level of shihezi,shihezi university school of medicine in the first affiliated hospital departments of pulmonary thromboembolism(PTE)in hospitalized patients clinical characteristics and treatment of the status quo,objective evaluation of hospitalized patients with respiratory and non-respiratory standardized diagnosis and treatment,to assess the shihezi PTE diagnosis and treatment level.Methods We retrospectively collect and analyze the clinical data of hospitalized PTE patients,as for demographics data,first-time inpatient department,risk factors,clinical manifestations,diagnostic methods,treatment condition and so on,from January 2013 to February 2016 admitted to the First Affiliated Hospital of Shihezi University.Results 73 patients with PTE were collected,there were 32 males(43.8%)and 41 females(56.2%)with a mean age of(63.5±13.6)years.Respiratory medicine accounted for 40%;the main clinical manifestations of dyspnea up to 62 cases(84.9%);72 patients(98.6%)were diagnosed by CT pulmonary angiography(CTPA)and 1 patient(1.4%)was diagnosed by Lung enhancement CT;63patients(86.3%)underwent echocardiography,51 patients(69.9%)underwent deep vein thrombosis(DVT)screening,25 patients(34.2%)were examined by brain natriuretic peptide(BNP)or N-terminal pro-brain natriuretic peptide(NT-proBNP),62 patients(84.9%)were examined by troponin,63 patients(86.3%)were treated with anticoagulation,8patients(11.0%)were treated with thrombolysis,1patient Implement Cavity filter;treatment was discontinued in 2 patients(2.7%);adverse reactions were mainly bleeding(6.8%),and abnormal liver function(9.6%);the in-hospital mortality was 5.5%;Compared with non-respiratory,Respiratory PTE patients diagnosed a short time(t=-2.108,P=0.039),while non-respiratory thrombolysis more(X~2=5.201,P=0.023).Conclusion Preliminary observation,in the Shihezi area,the level of PTE standardization is higher in the collaboration of respiratory department and non-respiratory department,and the consciousness of clinical physicians in risk stratification and the cause of PTE is needed to be further strengthened,the establishment of the PTE diagnosis and treatment group helps to complement and improve the standardized diagnosis and treatment of PTE,more accurate results need to be extended to secondary hospitals for further investigation and analysis.